Epilepsy Clinic

Neurological diagnosis, treatment, and multidisciplinary care

The Epilepsy Clinic, operating within the Neurology Department of a private medical clinic in Tel Aviv, provides diagnosis, treatment, and long-term follow-up for patients with various forms of epilepsy — from newly diagnosed seizures to complex, drug-resistant conditions.

The clinic’s work is based on a clear principle: first, accurate diagnosis and optimal medical treatment — and only then, consideration of additional options if they are truly necessary.

Conditions managed at the Epilepsy Clinic

The neurology team provides care for patients with:

• newly diagnosed epileptic seizures
• an established diagnosis of epilepsy
• suspected focal or generalized epilepsy
• epilepsy associated with other neurological conditions
• changes in seizure pattern or frequency
• insufficient response to medical therapy

It is important to emphasize: not every seizure is epilepsy, and not every case of epilepsy requires aggressive treatment.
This is why a careful neurological evaluation is a key step in the process.

What is included in the work of the neurology clinic

Within the Epilepsy Clinic, patients undergo:

• clinical evaluation and detailed review of seizure history
• selection and adjustment of anti-epileptic medication
• assessment of treatment side effects
• interpretation of EEG, MRI, and other diagnostic studies
• ongoing follow-up and long-term management
• support during life transitions (pregnancy, aging, coexisting medical conditions)

In many cases, properly tailored medical therapy allows for good seizure control and stable quality of life.

When functional neurosurgery becomes part of the discussion

In some patients, epilepsy proves to be drug-resistant, meaning that seizures persist despite appropriate treatment with multiple medications.

At this stage, an important question arises: Are there other options?

This is where collaboration with the Functional Neurosurgery service begins.

It is important to clarify: this does not mean an immediate decision to operate, but rather an additional expert evaluation.

The connection between neurology and functional neurosurgery in epilepsy

Functional neurosurgery is considered as a possible step only after a comprehensive neurological assessment.

Together, the team evaluates:

• the type of epilepsy
• localization of an epileptogenic focus (if present)
• EEG and neuroimaging findings
• clinical response to medication
• the patient’s overall medical condition

In many cases, the outcome of this evaluation is:

• refinement of the diagnosis
• modification of medical treatment
• recommendation to continue conservative management

Only a carefully selected group of patients may eventually be considered for neurosurgical intervention — performed at specialized medical centers.

A multidisciplinary approach

Epilepsy is more than seizures alone.
It affects:

• cognitive function
• emotional well-being
• social adaptation
• quality of life for patients and their families

For this reason, when needed, care involves collaboration with:

• functional neurosurgery
• psychiatry
• neuropsychology
• other relevant specialists

This approach allows for thoughtful, individualized decisions, rather than a one-size-fits-all strategy.

Who may benefit from an Epilepsy Clinic consultation

A consultation may be particularly helpful when:

• the diagnosis is uncertain
• seizures have changed or become more frequent
• treatment no longer works as it once did
• there are questions about future management
• a second medical opinion is being considered

Sometimes, the most valuable outcome of a consultation is reassurance that the current approach is appropriate.

Scheduling a consultation

Consultations for epilepsy and neurological follow-up are provided in a private setting, allowing for an in-depth review of each patient’s medical situation.

📞 Phone: +972-73-374-6844
📧 Email: [email protected]
💬 WhatsApp: +972-52-337-3108

What patients usually ask us about epilepsy

One of the first things people ask is whether every seizure automatically means epilepsy.
In reality, it doesn’t. We often see situations that look like epileptic seizures but turn out to have a different cause altogether — fainting episodes, heart rhythm problems, reactions to stress, or even severe sleep deprivation. That’s why a diagnosis is never based on a single event.

Another common concern is whether epilepsy, once diagnosed, is something a person has for life.
Sometimes it is. Sometimes it isn’t. There are patients whose seizures come under good control with medication, and others whose diagnosis changes or becomes more precise over time. Follow-up is not a formality here — it’s part of the treatment.

People also ask how long it takes to understand whether medication is actually helping.
The honest answer is that it takes time. Occasionally improvement is quick, but more often treatment involves adjustments. We are not only looking at seizure frequency, but also at how the person feels day to day — alertness, concentration, mood. Good seizure control that comes at the cost of daily functioning is not a good result.

At some point, the term “drug-resistant epilepsy” may come up, and it often causes anxiety.
What it usually means is that seizures continue despite appropriate treatment. It does not automatically mean surgery. It means the situation deserves a broader and more careful evaluation.

Questions about surgery usually come later.
Only a small proportion of patients ever reach that stage. And even then, the process starts with understanding the type of epilepsy, the test results, and the overall clinical picture. In many cases, the conclusion after such an evaluation is that surgery is not the right step — and that clarity itself is important.

Living with epilepsy is not only about the seizures themselves.
Between episodes, people often deal with fatigue, anxiety, fear of recurrence, and limitations at work or socially. Effective care takes all of this into account, not just what appears on an EEG.

Some patients ask why a second opinion might be helpful.
Not because someone made a mistake, but because epilepsy can be complex. When symptoms change, treatments stop working as expected, or major decisions are being considered, another perspective can help bring order to the situation.

Finally, many people ask what makes a private consultation different.
Mostly, it’s time. Time to review records carefully, talk things through without pressure, and understand the options. Especially when decisions feel heavy, that space can make a real difference.